| NPI | 1780197657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162297) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2204723) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2025-03-27 |