| NPI | 1114583879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161902) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167020) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163804) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-05-30 |