| NPI | 1518545441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181898) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176303) |
| 175T00000X Peer Specialist (Licence: OH 0001939) | |
| 251S00000X (Licence: OH 018719) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2022-09-05 |