NPI | 1093228538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164929) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.164929) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2018-05-31 |