| NPI | 1659085736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182215) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 193759) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2025-09-26 |