| NPI | 1174018030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173750) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2020-08-04 |