NPI | 1053853994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2202753) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.131170) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2023-12-20 |