| NPI | 1336746288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177690) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH NA) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-07-23 |