NPI | 1760965123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203139) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162051) |
101YM0800X Counselor, Mental Health (Licence: OH C.1801338) | |
Enumeration Date | 2018-09-12 |
Last Update Date | 2022-09-27 |