| NPI | 1528597432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161498) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166796) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS.3) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163682) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-02-28 |