| NPI | 1154816056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164382) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 164382) |
| 225400000X Rehabilitation Practitioner (Licence: OH CDCA164382) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2022-01-07 |