| NPI | 1982170361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103921) |
| 101Y00000X Counselor (Licence: OH c.2002649-TRNE) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 169235) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162313) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2024-06-14 |