| NPI | 1205419652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.180998) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.176582) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2022-06-07 |