| NPI | 1528552536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162648) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-03-12 |