| NPI | 1316515075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA185029) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0002494) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-06-28 |