| NPI | 1831602762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 165911) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 162347) |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-01-23 |