NPI | 1487677704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011079) |
Additional Taxonomies | 225800000X Recreation Therapist |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |