| NPI | 1851733315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.141045) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC141045) |
| 101YP2500X Counselor, Professional (Licence: OH E1200105SUPV) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2020-09-10 |