| NPI | 1801392022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.100054) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH BSW) |
| 405300000X Prevention Professional (Licence: OH OCPSA.161399) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |