| NPI | 1982110474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2512515) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.164037) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.167455) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-07-01 |