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 Community/Behavioral Health (Licence: OH CDCA.170329) | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-06-05 |