| NPI | 1396487393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173441) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003160) |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-12-19 |