| NPI | 1508500117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182552) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-12-29 |