| NPI | 1902466279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 181950) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1901100-TRNE) |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-07-06 |