| 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 |