| NPI | 1144733940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161766) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161484) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163495) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-11-19 |