| NPI | 1124615182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 182330) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2026-02-11 |