| NPI | 1922750066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.162033) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 177538) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-09-19 |