| NPI | 1275153124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 181013) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-07-27 |