| NPI | 1639595762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.081250-02) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH OCPS.1204.1) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2016-09-06 |