NPI | 1285215749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162573) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
1041C0700X Social Worker, Clinical (Licence: S.2310054) | |
Enumeration Date | 2021-04-16 |
Last Update Date | 2024-05-02 |