NPI | 1083031751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 021056) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 021056) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |