| NPI | 1467274852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.190284) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.190284) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-08-07 |