| NPI | 1124713730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186979) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist (Licence: OH APS.004683) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-02-20 |