NPI | 1174037303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 120514) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH 1300079) |
171M00000X Case Manager/Care Coordinator | |
175T00000X Peer Specialist | |
Enumeration Date | 2017-11-27 |
Last Update Date | 2019-07-01 |