| NPI | 1114524741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162234) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103522) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-06-30 |