| NPI | 1952816423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor (Licence: OH C.1801437) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2025-12-04 |