| NPI | 1609585090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA.194061) |
| 175T00000X Peer Specialist (Licence: OH APS.006317) | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2026-06-03 |