| NPI | 1952784936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 100049) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 100049) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |