| NPI | 1750974226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CSCA.190854) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: OH APS.001350) | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-12-19 |