| NPI | 1083159560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141186) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I.2002454) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-02-27 |