| NPI | 1760908263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204204) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161933) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162260) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167891) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164220) | |
| 101YM0800X Counselor, Mental Health (Licence: OH c.2204204) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2204204) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2024-06-05 |