| NPI | 1720541451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162084) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002239-TRNEE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161988) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162084) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-06-15 |