| NPI | 1821745969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162767) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305261-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181996) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161970) | |
| 101YP2500X Counselor, Professional (Licence: OH C.2506784) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2025-08-29 |