| NPI | 1629456942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161381) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 2038) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101141) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2023-03-22 |