| NPI | 1427697788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 177400) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 002181) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-07-05 |