| NPI | 1386258580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178183) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.174319) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2021-09-03 |