| NPI | 1194556100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH s.2613968) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.163031) |
| 175T00000X Peer Specialist (Licence: OH APS.005664) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2026-06-22 |