| NPI | 1205421922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH CDCA.179668) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175716) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-03-30 |