| NPI | 1457009417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.194090) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003977) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: OH APS.003977) | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2026-09-14 |