| NPI | 1285290411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170223) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002535) |
| 405300000X Prevention Professional (Licence: OH APP-000537655) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-12-20 |