| NPI | 1023600848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.161823) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.177167) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.173479) | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2023-08-14 |