| NPI | 1750917449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA191408) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 401336731211) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2025-01-31 |