| NPI | 1649908443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2512574) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186905) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2026-03-05 |