| NPI | 1063134443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187781) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 187781) |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator (Licence: OH QBHS) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-04-08 |