| NPI | 1922185099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500228-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.061038) |
| 101YM0800X Counselor, Mental Health (Licence: OH C0500228) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-02-12 |