| NPI | 1437872090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 173944) |
| Additional Taxonomies | 251E00000X Home Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-01-08 |