| NPI | 1063907863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161637) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.000469) |
| 171M00000X Case Manager/Care Coordinator | |
| 104100000X Social Worker (Licence: OH W.1900198) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-06-28 |