NPI | 1518585959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.179487) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
171M00000X Case Manager/Care Coordinator (Licence: OH 2020) | |
101YM0800X Counselor Mental Health (Licence: OH QMHS) | |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-03-13 |