| NPI | 1851706089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164320) |
| 171W00000X Contractor | |
| 405300000X Prevention Professional (Licence: OH OCPSA.161410) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2019-05-14 |