NPI | 1740706886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161374) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2309688) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2023-12-20 |