| NPI | 1518478999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162659) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2507318) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2025-12-03 |