| NPI | 1760794291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: OH 1094-C08) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 080581) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2011-01-10 |