| NPI | 1861025835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175134) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-03-25 |