| NPI | 1841599248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0050965SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 0500965) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 101203) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2023-12-06 |