NPI | 1023619160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2310067) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174282) |
175T00000X Peer Specialist | |
Enumeration Date | 2020-11-05 |
Last Update Date | 2023-10-26 |