| NPI | 1205540945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.189671) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003811) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-04-18 |