| NPI | 1578059564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167424) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 251E00000X Home Health | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2020-11-19 |