| NPI | 1053804039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH W.2100299) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173588) | |
| 104100000X Social Worker (Licence: OH S.2001623-TRNE) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-01-24 |