| NPI | 1851280564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141322) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0015123) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |