| NPI | 1659755940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 150013) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 150013) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |