| NPI | 1407667090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406407-TRNE) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2026-03-19 |