| 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 |