| NPI | 1538896592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186101) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.001605) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-01-29 |