NPI | 1124478722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 0800187-SUP) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111114C) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-06-15 |