| NPI | 1437896313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 183238) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401950250417) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-03-09 |