| NPI | 1134807217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 191966) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH 3654429) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-10-29 |