| NPI | 1720571573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2002979) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166457) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162723) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161905) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-12-29 |