| NPI | 1396203683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173288) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.169910) |
| 101YM0800X Counselor, Mental Health (Licence: QMHS) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-04-03 |