| NPI | 1871868109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901496) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161333) |
| 101YP2500X Counselor, Professional (Licence: OH C 1000078) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-01-14 |