NPI | 1730838251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178686) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2023-09-25 |