| NPI | 1689089849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC-CS) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.0006849) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |