| NPI | 1356859920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.191829) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH RA-06-23-1252) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2025-03-04 |