NPI | 1720536170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 976039) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0003132) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2024-01-31 |