| NPI | 1861903379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH S.1700959) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1700959) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1700959) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |