| NPI | 1982255717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161968) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 170139) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178032) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-07-25 |