| NPI | 1972009462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I1500352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH i1500352) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-06-26 |