NPI | 1740386531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0004313-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 051033) |
101YP2500X Counselor, Professional (Licence: OH E4313) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2021-04-13 |