| NPI | 1891460580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA001082) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 177848) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177848) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-02-21 |