| NPI | 1841561222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0800247-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111026) |
| 101YP2500X Counselor, Professional (Licence: OH E0800247) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2021-03-29 |