| NPI | 1710682620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2506811-TRNE) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.183561) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2025-07-15 |