| NPI | 1083157754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162291) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.161097) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164695) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-11-03 |