| NPI | 1770095101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1901186-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1901186) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161405) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 1700242) | |
| 101YP2500X Counselor Professional (Licence: OH E.1901186) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2020-10-15 |