| NPI | 1053932087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162289) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172948) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175396) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-08-14 |