NPI | 1811404502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161591) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH 1701620) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2018-01-04 |