| NPI | 1457904211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH C.1901774-TRNE) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH C.2002798) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-08-11 |