| NPI | 1417460965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002853) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162054) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH LICDC.162054) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2025-05-20 |