| NPI | 1740478866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 061033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C8063) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-03-05 |