| NPI | 1669936662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA170734) |
| Additional Taxonomies | 251S00000X |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-12-27 |