| NPI | 1396195319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162280) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162617) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161747) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.160110) | |
| 101YP2500X Counselor, Professional (Licence: OH C.2305437) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-08-28 |