| NPI | 1982208310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA189234) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2025-02-28 |