| NPI | 1871002329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202718) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901680) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDClll.151146) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |