| NPI | 1497366827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.2204568) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103428-TRNE) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2103428-TRNE) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-12-02 |