| NPI | 1790864189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.031053) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2021-02-08 |