NPI | 1811198757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7423) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2019-01-17 |