| NPI | 1124671748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-86166) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180761) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-07-30 |