| NPI | 1962166645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161903) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178780) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174925) | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-04-09 |