| NPI | 1114419868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162967) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701444) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2026-02-24 |