| NPI | 1992279608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404581) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162264) |
| 101YP2500X Counselor, Professional (Licence: OH C.2103129) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-09-09 |