| NPI | 1366915506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.2002582) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800787-TRNE) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-10-22 |