| NPI | 1306480512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0501090) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 976226) |
| 101YP2500X Counselor, Professional (Licence: VA 0701006203) | |
| 101YP2500X Counselor, Professional (Licence: MD LC10041) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2026-04-21 |