NPI | 1437544459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1400437) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400437) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2016-04-05 |