| NPI | 1578132049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177066) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 171M00000X) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-08-27 |