NPI | 1689187890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161814) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
Enumeration Date | 2017-11-09 |
Last Update Date | 2018-11-20 |