| NPI | 1043741861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002602) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161733) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166313) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161762) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163035) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-12-18 |