| NPI | 1245772151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161976) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.131077) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.131077) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2023-09-29 |