| NPI | 1073873683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901052) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC-081246-DU) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH GAMB.081246) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2019-08-30 |