| NPI | 1790556298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA189878) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2613472) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2026-03-31 |