| NPI | 1104362060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162349) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0001330) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.2208595) | |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2025-10-23 |