NPI | 1548764087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 121453) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 00036) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2021-02-25 |