NPI | 1750063509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 184859) |
Enumeration Date | 2023-08-02 |
Last Update Date | 2023-11-29 |