NPI | 1841561222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0800247-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111026) |
101YP2500X Counselor, Professional (Licence: OH E0800247) | |
Enumeration Date | 2012-01-18 |
Last Update Date | 2021-03-29 |