| NPI | 1083371546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.179179) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2022-05-11 |