| NPI | 1245887124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175434) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2023-12-19 |