| NPI | 1811149560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500724.SUPN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC111.031031) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2025-09-17 |