| NPI | 1467178426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OH 09307313) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.180033) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |