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 |