| NPI | 1033623202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH s1100821) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH s1100821) | |
| 101YP2500X Counselor, Professional (Licence: OH s1100821) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2019-07-02 |