| NPI | 1710443601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161151) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH C.1901626-TRNE) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-09-19 |