| NPI | 1053137075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.189581) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002853) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-10-17 |