NPI | 1225557580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 166824) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 358) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2018-09-11 |