| NPI | 1326866575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCAPre.196663) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.005583) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2026-07-16 |