| NPI | 1912564501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173632) |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X (Licence: OH CDCA.170329) | |
| 251S00000X | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-06-05 |