NPI | 1396875407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 99-305) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WV 1332) |
101Y00000X Counselor (Licence: OH E1852) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2025-09-11 |