| NPI | 1740705896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162310) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2606226) |
| 101YP2500X Counselor, Professional (Licence: OH C.2305052) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2026-01-20 |