| NPI | 1295246197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 1801458) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162793) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2025-05-12 |