| NPI | 1720700651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2302948-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA182862) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-06-25 |