| NPI | 1366060543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177264) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA173591) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA.177264) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2021-06-23 |