| NPI | 1962173948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH W.2500499) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-11-14 |