| NPI | 1144198433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.892677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.0001482-SUPV) |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |