| NPI | 1821507583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2102606) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: E.2102606) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 151035) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-10-01 |