| NPI | 1639668528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E2303357) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-10-14 |