| NPI | 1366825697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1366825697) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-07 |