| NPI | 1366180952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180820) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.2304955) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-03-01 |