| NPI | 1861944225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 130554) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 130554) |
| 101YM0800X Counselor, Mental Health (Licence: OH 130554) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2025-06-05 |