| NPI | 1093322471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179911) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175404) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-07-03 |