NPI | 1881360600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2506834) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162475) |
172V00000X Community Health Worker | |
Enumeration Date | 2021-08-20 |
Last Update Date | 2025-02-03 |