| NPI | 1548940679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.185861) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OH RA.163670) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-09-28 |