| NPI | 1831613751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901025) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH C.1500212) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161562) | |
| 101YM0800X Counselor, Mental Health (Licence: C.1500212) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2023-03-08 |