| NPI | 1518450964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168690) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 164860) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-10-15 |