| 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 |