| NPI | 1902980824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.101167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S-31911) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-10-30 |