| NPI | 1225727589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH aps.004047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH Cdca.187675) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-03-17 |