| NPI | 1578112967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 2305610) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 182249) |
| 101YP2500X Counselor, Professional (Licence: OH E.2606783) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2026-03-19 |