| NPI | 1760972962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102655-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2102655-SUPV) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162087) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-10-30 |