| NPI | 1194155366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E. 0003548) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161640) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 001152) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2021-12-06 |