NPI | 1932985876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 405300000X Prevention Professional (Licence: OH OCPSA.161600) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173277) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-09-06 |