| NPI | 1497099170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 121011) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.121011) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2022-11-07 |