| NPI | 1649803990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 171318) |
| 405300000X Prevention Professional (Licence: OH 01205) | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-07-27 |