| NPI | 1396360863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193196) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-07-31 |