NPI | 1922595750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c.2103909) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162204) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161970) | |
101YM0800X Counselor, Mental Health (Licence: OH c.2002440-TRNE) | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2022-01-17 |