NPI | 1124504659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 167806) | |
Enumeration Date | 2018-07-18 |
Last Update Date | 2023-09-13 |