NPI | 1710756168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187933) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-12-27 |
Last Update Date | 2024-04-01 |