| NPI | 1992489553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.194207) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-11-13 |