NPI | 1417489139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162776) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2304788) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2025-02-07 |