| NPI | 1104604669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 194565) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2026-02-19 |