| NPI | 1457180333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193584) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-09-23 |