NPI | 1467036756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182954) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002209) |
Enumeration Date | 2021-05-12 |
Last Update Date | 2023-02-22 |