| NPI | 1023730025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187634) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 2022) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2026-03-06 |