| NPI | 1013568419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.188501) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 183700000X Pharmacy Technician (Licence: OH 09312832) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-08-26 |