| NPI | 1689154080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH 335314) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 335314) |
| 101YM0800X Counselor Mental Health | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OH 335314) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-07-03 |