| NPI | 1194556100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.183177) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-22 |