| NPI | 1760995666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 2024) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162738) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| 175T00000X Peer Specialist (Licence: OH prs.00353) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 2024) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-10-10 |