| NPI | 1285066282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161882) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS.00001795) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161476) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.141194) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.130263) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-11-02 |