| NPI | 1447745948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 168055) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 405300000X Prevention Professional (Licence: OH 161700) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-07-02 |