| NPI | 1801595640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162758) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-09-03 |