| NPI | 1134767551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162497) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178387) |
| 101YP2500X Counselor, Professional (Licence: OH C.2204463) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2023-10-02 |