NPI | 1053971705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 168870) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-06-15 |
Last Update Date | 2019-06-18 |