| NPI | 1962979435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 172104) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-10-02 |