| NPI | 1205483534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.172747) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-03-18 |