| NPI | 1326626565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CDCA.182196) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA178382) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-03-24 |