| NPI | 1417328238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 2102419) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH lcdcIII.162156) |
| 101YP2500X Counselor, Professional (Licence: OH c.1901886) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-09-24 |