| NPI | 1972114742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180866) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2023-08-23 |