| NPI | 1811453194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.172304) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: QMHS) |
| 171M00000X Case Manager/Care Coordinator (Licence: CMS) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-12-12 |