| NPI | 1033906987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2513010) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH 002442) |
| 175T00000X Peer Specialist (Licence: OH FPS000051) | |
| 405300000X Prevention Professional (Licence: OH 163788) | |
| 175T00000X Peer Specialist (Licence: OH 003147) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 185436) | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-10-09 |