| NPI | 1790239036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1300105) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH C.1300105) |
| 101YP2500X Counselor Professional (Licence: OH C.1300105) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-11-30 |