| NPI | 1851802102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162347) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA-164513) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2022-06-03 |