| NPI | 1235479494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.081183) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC 081183-3) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS.00000015) | |
| 101YM0800X Counselor, Mental Health (Licence: OH S.0701012) | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2022-06-07 |