NPI | 1902368632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175092) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
172V00000X Community Health Worker | |
106S00000X Behavior Technician | |
246Z00000X Specialist/Technologist, Other | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2021-01-20 |