| NPI | 1912465717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162825) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2511896) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-05-28 |