| NPI | 1093420424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186366) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003332) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-11-09 |