| NPI | 1861812034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: OH OH3127884) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-03-05 |