| NPI | 1831764612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181305) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204234TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OH 2021) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-02-16 |