| NPI | 1811269525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1100538-TRNE) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2021-10-21 |