| NPI | 1740012350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH APS.005427) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-09-30 |