| NPI | 1447903547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179569) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-02-01 |