| NPI | 1609695394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005790) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190666) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-01-21 |