| NPI | 1790990711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003482-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.001245) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0003482-SUPV) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2017-02-09 |