| NPI | 1861801706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162057) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161455) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.140219) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2023-09-22 |