| NPI | 1821588971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162280) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174190) |
| 163W00000X Registered Nurse (Licence: OH 338222) | |
| 174400000X Specialist | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-01-21 |