| NPI | 1811755689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |