NPI | 1962078261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190515) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103257-TRNE) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-05-28 |
Last Update Date | 2024-11-06 |