| NPI | 1982192944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH LICDC.162174) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161431) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162174) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-02-09 |