| NPI | 1225545619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800696-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.141016) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ADC.141016) | |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2025-04-29 |