| NPI | 1225815723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193221) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.004426) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-01-20 |