| NPI | 1609449230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 184661) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-02-05 |