| NPI | 1912476078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190521) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-01-17 |