| NPI | 1447704416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.1300209-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.141170) |
| 101YP2500X Counselor, Professional (Licence: OH LICDC.161597) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2022-06-15 |