| NPI | 1588281190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162303) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-06-22 |