| NPI | 1174012314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1902047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA171918) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2019-11-18 |