| NPI | 1982110474 |
|---|---|
| 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.167455) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164037) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-08-09 |