NPI | 1568123768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162594) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2305140) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2024-03-20 |