| NPI | 1073085668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171583) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH RQ692866) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-10-21 |