| NPI | 1336848878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.003787) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 182574) |
| 405300000X Prevention Professional (Licence: OH 182574) | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-10-03 |