| NPI | 1275267684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184702) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH CHW.001514) |
| 175T00000X Peer Specialist (Licence: OH APS.003389) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CHW.001514) | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2023-08-29 |