| NPI | 1316648686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 183643) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 003893) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-08-17 |