| NPI | 1386231561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162627) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181326) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177670) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-11-01 |