| NPI | 1700734886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193680) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH APS.005837) |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-03-17 |