| NPI | 1497442081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.006047) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.191516) | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-03-06 |