| NPI | 1932769742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.169902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: OH S.2106719) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.169902) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2021-09-02 |