| NPI | 1558011908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184658) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0003015) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.181496) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2024-03-23 |