| NPI | 1972085843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2405624-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175336) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-03-08 |