| NPI | 1639530389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OH OCPS.161433) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.140626) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2023-09-06 |