| NPI | 1326677402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.001129) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172457) |
| 172V00000X Community Health Worker (Licence: OH 001182) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-10-15 |