| NPI | 1154820975 |
|---|---|
| Former Name | KAREN A. RICKETTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.150801) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.150801) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-09-18 |