| NPI | 1679085500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162403) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600207) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2026-04-01 |