NPI | 1033607452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202745) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161900) |
101Y00000X Counselor (Licence: OH C.1801350) | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2023-10-19 |