| NPI | 1356819288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 164630) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2023-09-26 |