| NPI | 1063843332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH O81156-CS) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1100077) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2019-06-11 |