| NPI | 1043793037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161950) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.023903) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2024-10-30 |