| NPI | 1447752761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1901628) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700678-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167575) | |
| 183500000X Pharmacist (Licence: PA RP446524) | |
| 183500000X Pharmacist (Licence: OH 003322012) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-01-10 |