| NPI | 1023890381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2507625) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003219) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-10-28 |