| NPI | 1245701929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.169990) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH QMHS) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CMS) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-02-06 |