| NPI | 1104152347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.965762) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS-R.965762) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICCS17545) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS.00000385) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2024-10-29 |