| NPI | 1841722006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH c.1100404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.1100404) |
| 106H00000X Marriage & Family Therapist (Licence: OH C.1100404) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |