| NPI | 1831609452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161658) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103033-TRNE) |
| 101YP2500X Counselor, Professional (Licence: OH C.2103652) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-03-23 |