| NPI | 1700987658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| 171M00000X Case Manager/Care Coordinator (Licence: CMS) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2026-08-12 |