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 |