| NPI | 1336751064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2103694) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH C.2002540-TRNE) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-02-23 |