NPI | 1841916574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186220) |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2022-10-14 |
Last Update Date | 2024-03-13 |