| NPI | 1033862271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186751) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182906) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-12-20 |