| NPI | 1104554492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186010) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002976) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2024-01-02 |