| NPI | 1083102958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1901808) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2026-08-17 |