| NPI | 1649259136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 051017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E2393) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2022-07-21 |