| NPI | 1073226619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 190171) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 405300000X Prevention Professional (Licence: OH 162047) | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2024-12-17 |