| NPI | 1972094704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303377) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 1800901) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1902284) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-04-12 |