| NPI | 1497499164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181003) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176335) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.1766335) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-06-08 |