| NPI | 1811198757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7423) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-01-17 |