| NPI | 1205442241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161945) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178458) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174727) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-10-25 |