| NPI | 1821227604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0004951-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 943881) |
| 111NI0900X Chiropractor Internist (Licence: OH 3419) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-05-27 |