| NPI | 1003624834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCAPre.195426) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 2024) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2026-03-10 |