| NPI | 1972084374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.169121) |
| 251S00000X | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-11-16 |