| NPI | 1609554500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186689) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QM0801X | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-12-28 |