| NPI | 1679936181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161763) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161518) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161353) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.141657) | |
| 101YP2500X Counselor, Professional (Licence: OH C.1902285) | |
| 101YP2500X Counselor, Professional (Licence: OH E.2303443) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-05-30 |