| NPI | 1891582003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190492) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2607949-TRNE) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2026-07-22 |