| NPI | 1962815142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161868) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700373) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2026-09-14 |