| NPI | 1245936103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.183251) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-12-04 |