| NPI | 1821227604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH PCC-S) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 943881) |
| 111NI0900X Chiropractor, Internist (Licence: OH 3419) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-09-20 |