| NPI | 1285140491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166497) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2025-12-22 |