| NPI | 1922534346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161738) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA 090353) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA 090353) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2021-12-08 |