| NPI | 1407568348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162871) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2512615) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2025-07-25 |