| NPI | 1518514405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1902061) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168946) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162141) | |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2022-03-24 |