| NPI | 1114484268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH W.1900163) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167542) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-05-26 |