| NPI | 1174021075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162185) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168770) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-03-03 |