| NPI | 1073338414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.0125815) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 175T00000X Peer Specialist (Licence: OH APS.005293) | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-10-06 |