| NPI | 1831253095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0008042) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 101043) |
| 101YM0800X Counselor Mental Health (Licence: OH E0008042) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-04-08 |