| NPI | 1659007102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186810) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 182627) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182627) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-12-20 |