| NPI | 1467095315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175440) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH W.2200306) |
| 405300000X Prevention Professional (Licence: OH OCPC.161305) | |
| 171M00000X Case Manager/Care Coordinator | |
| 104100000X Social Worker (Licence: OH W.2200306) | |
| 405300000X Prevention Professional (Licence: OH PS.00000080) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2026-03-24 |