| NPI | 1336931294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 192480) |
| 251B00000X Case Management | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-07-10 |