| NPI | 1043708738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162105) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165125) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2405576-TRNE) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-02-08 |