NPI | 1982362281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
175T00000X Peer Specialist | |
251B00000X Case Management | |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.185363) | |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2021-12-03 |
Last Update Date | 2023-09-12 |