| NPI | 1205482437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 168587) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH CHW.000800) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |