| NPI | 1245743707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.167248) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 163410) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH s.1800464-TRNE) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-05-30 |