NPI | 1831684596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA E.1901552) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500526) |
Enumeration Date | 2018-06-26 |
Last Update Date | 2022-03-01 |