| NPI | 1992218812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161764) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161472) |
| 101YP2500X Counselor, Professional (Licence: OH C.1801597) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2019-02-20 |