| NPI | 1124511605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2505791) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162337) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2026-08-13 |