NPI | 1457816415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 169478) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 001013) |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-08-26 |