| NPI | 1720569346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH CDCA.183682) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.183682) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2026-05-07 |