| NPI | 1821582776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2405498-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161636) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162469) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166828) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162999) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-11-14 |