| NPI | 1992262653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103639) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH C.2002664-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162252) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168065) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2022-07-22 |