| NPI | 1770105447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2404468) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: C2103343) |
| 101Y00000X Counselor (Licence: OH C2002398TRNE) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA176681) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-06-28 |