| NPI | 1588390637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180655) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0002772) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-01-23 |