| NPI | 1720699051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103527) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175309) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161773) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2002575-TRNE) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-03-11 |