| NPI | 1881107035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.2207957) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-08-15 |