| NPI | 1174175970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162391) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166108) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.161619) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-11-01 |