| NPI | 1447964481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.195180) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190707) | |
| 253Z00000X In Home Supportive Care (Licence: OH 7719432) | |
| 405300000X Prevention Professional (Licence: OH RA.164334) | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2026-03-16 |