| NPI | 1831318682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 2606) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 976102) |
| 103TC1900X Psychologist, Counseling (Licence: OH 01834) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-09-23 |