| NPI | 1205379211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162105) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 160158) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161590) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2023-08-23 |