| NPI | 1063926194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161969) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.161593) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2021-04-27 |