| NPI | 1932799749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2405728) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: OH C.2204241-TRNE) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179736) | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2024-11-21 |