| NPI | 1972045037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH c1700106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1700106) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2026-02-05 |