| NPI | 1003529868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181204) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 405300000X Prevention Professional (Licence: OH OCPC.161325) | |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |