| 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 |