| NPI | 1124511605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162337) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161965) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-04-04 |