NPI | 1558878611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164850) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 00483) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2024-01-09 |