NPI | 1629629233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.173897) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.177672) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-09-25 |
Last Update Date | 2021-07-29 |