| NPI | 1770835076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.120379) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2019-03-28 |