| NPI | 1710493812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162494) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OH RA.161604) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |