| NPI | 1588374359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.189517) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH CHW.001907) |
| 175T00000X Peer Specialist (Licence: OH APS.003693) | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-08-22 |