| NPI | 1457912669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH S.1302975) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH S.1302975) |
| 101YP2500X Counselor Professional (Licence: OH S.1302975) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-07-02 |