| NPI | 1134706310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162820) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-04-16 |