| NPI | 1740386531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0004313-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 051033) |
| 101YP2500X Counselor Professional (Licence: OH E4313) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-04-13 |