NPI | 1770079154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 163065) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP0100429) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-07-09 |
Last Update Date | 2023-05-08 |