| NPI | 1841817095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303810) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002801TRN) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175370) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-03-15 |