| NPI | 1013433697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162263) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162124) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.150377) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2103294-TRNE) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-10-18 |