| NPI | 1083215289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179671) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-07-22 |