| NPI | 1285391730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162384) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2303175-TRNE) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-09-05 |