NPI | 1538881271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH Cdca.187908) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180363) |
175T00000X Peer Specialist (Licence: OH APS.003458) | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2024-04-05 |