| NPI | 1316366123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162152) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 330111) |
| 101YP2500X Counselor, Professional (Licence: OH C.1300153) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-09-23 |