| NPI | 1457095366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.186197) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker (Licence: OH 181732) | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-11-20 |