| NPI | 1710441217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1801364-TRNE) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2020-02-07 |