NPI | 1881268779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH LCDCII.161851) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176487) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2021-05-17 |
Last Update Date | 2023-02-03 |