| NPI | 1871999151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168490) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA164706) |
| 376K00000X Nurse's Aide (Licence: OH 374367131194) | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2023-07-06 |