| NPI | 1164155453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 180806) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-12-03 |