NPI | 1548701410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCll.161369) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
163W00000X Registered Nurse (Licence: OH RN.313079) | |
Enumeration Date | 2017-03-13 |
Last Update Date | 2023-07-18 |