NPI | 1346753662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161879) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164694) |
101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
Enumeration Date | 2017-11-08 |
Last Update Date | 2019-05-31 |