| NPI | 1932611050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162362) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405940) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-05-29 |