| NPI | 1285030932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162231) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII-161321) |
| 101YP2500X Counselor, Professional (Licence: OH C.2103914) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2022-02-17 |