| NPI | 1275290181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.002266)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186486)  | 
| 175T00000X Peer Specialist (Licence: OH FPS.000092)  | |
| Enumeration Date | 2021-11-27 | 
| Last Update Date | 2025-07-27 |