| NPI | 1356006993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2607154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: C.2406001) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2026-08-19 |