NPI | 1972161230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162354) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2305561) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2024-04-03 |