| NPI | 1063054864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162527) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170697) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177247) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162369) | |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2023-10-31 |