| NPI | 1043708738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162817) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2406677) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2025-07-28 |