| NPI | 1609323005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1700671) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-03-17 |