NPI | 1417461658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161457) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1600441) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2021-04-27 |