| NPI | 1982182663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161957) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171804) | |
| 101YM0800X Counselor, Mental Health (Licence: OH 423753) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-12-18 |