| NPI | 1568967040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161795) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII161795) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA120674) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-12-07 |