| NPI | 1558072074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.003316) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179383) |
| 175T00000X Peer Specialist (Licence: OH FPS.000032) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |