| NPI | 1114483203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.121494) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171273) | |
| 251B00000X Case Management (Licence: OH CaseManager) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-07-13 |