| NPI | 1487270872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176749) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 173898) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-09-08 |