| NPI | 1598112526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161693) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2606590) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2026-03-19 |