| NPI | 1295388452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185310) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 1355) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.185310) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-10-28 |