| NPI | 1154088425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182282) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-11-02 |