| NPI | 1962918987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: E.2404868) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162438) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2026-02-19 |