| NPI | 1104563360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184779) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2026-07-15 |