| NPI | 1093230658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161690) |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2026-06-09 |