| NPI | 1598206690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1700195) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC161448) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161448) | |
| 101YP2500X Counselor, Professional (Licence: OH C.1700195) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2022-10-27 |