| NPI | 1336730696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 176336) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH 176336) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-04-02 |