| NPI | 1831525401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C1200623) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: OH E1200623) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2020-12-29 |