| NPI | 1629618996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 991813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.210744) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-06-29 |