| NPI | 1255809661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168383) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 168383) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2021-07-16 |