NPI | 1902414162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178713) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.174960) | |
Enumeration Date | 2020-07-14 |
Last Update Date | 2022-06-06 |