| NPI | 1558722967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E. 0003269) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 84073 CS) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |