NPI | 1497381610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103101) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2002348-TRNE) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: C.2002348-TRNE) | |
Enumeration Date | 2020-03-19 |
Last Update Date | 2024-11-02 |