| NPI | 1669150009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184722) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-13 |