NPI | 1366643033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.002993-SUPV) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.001103) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2021-06-11 |