NPI | 1306353909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.162017) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164946) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168442) | |
101YM0800X Counselor, Mental Health (Licence: OH QMHS.HSGED) | |
Enumeration Date | 2018-01-04 |
Last Update Date | 2024-06-17 |