| NPI | 1386136497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.194441) |
| 106S00000X Behavior Technician | |
| 175T00000X Peer Specialist (Licence: OH FPS.000303) | |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2026-09-18 |