| NPI | 1144463126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.0004022-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0004022-SUPV) |
| 101Y00000X Counselor (Licence: OH 976096) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 976096) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2016-08-18 |