NPI | 1518431162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2200322-TRNE) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-01-16 |
Last Update Date | 2023-12-02 |