| NPI | 1992224133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1600414) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |