| NPI | 1164741625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH E.0600555) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH LICDC.081028) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2019-06-27 |