NPI | 1154194926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193511) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.189597) |
101YM0800X Counselor, Mental Health (Licence: QMHS) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2023-11-03 |
Last Update Date | 2025-09-02 |