| NPI | 1265815591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1163) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| 405300000X Prevention Professional (Licence: OH 0782) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2017-08-22 |