| NPI | 1952679920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.188122) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 371739670600) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2024-05-07 |