| NPI | 1912703570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.191053) |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-07-18 |