| NPI | 1235553645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 081220) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0005211) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-05-11 |