| NPI | 1891226163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2405407) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-01-31 |