| NPI | 1457866212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 1100422) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1100422) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162021) | |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2022-07-19 |