| NPI | 1578268835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162999) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.183154) |
| 101Y00000X Counselor (Licence: OH CDCA.183154) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2026-04-09 |