| NPI | 1679089114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162304) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.2204455) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.164435) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2022-12-09 |