NPI | 1912428368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH LICDC.162770) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 140560) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2022-09-06 |