| NPI | 1639742380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2410664) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S2302845-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA179497) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-05-13 |