| NPI | 1285384362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180069) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist (Licence: OH APS.003734) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-02-10 |