| NPI | 1437712544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903755) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-08-25 |