| NPI | 1689164899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002823) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161659) |
| 101Y00000X Counselor (Licence: OH 1801309) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2020-08-14 |