| NPI | 1871006783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 161427) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 161753) |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-11-24 |