NPI | 1306248448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.85388) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.0015063) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2020-02-26 |