| NPI | 1780249409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2103175-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 246781) |
| 101YP2500X Counselor, Professional (Licence: NC A18042) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-10-11 |