| NPI | 1912414269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162918) |
| 251S00000X | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-06-07 |