| NPI | 1417664608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.188324) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.184677) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: OH APS.003351) | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-11-13 |