| NPI | 1710508619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161759) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.177032) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.173501) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-08-02 |