| NPI | 1487311361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161908) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.178198) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178198) | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2023-08-03 |