NPI | 1174012314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1902047) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA171918) |
172V00000X Community Health Worker | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2019-11-18 |