| NPI | 1073901310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0004947) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2022-04-06 |