| NPI | 1104339134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LCDCIII.161773) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161421) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-09-06 |