| NPI | 1467095315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175440)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH W.2200306)  | 
| 171M00000X Case Manager/Care Coordinator | |
| 405300000X Prevention Professional (Licence: OK OCPC.161305)  | |
| 405300000X Prevention Professional (Licence: OH PS.00000080)  | |
| Enumeration Date | 2019-10-23 | 
| Last Update Date | 2023-06-30 |