| NPI | 1649080516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 186671) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH Sa245164) |
| 172V00000X Community Health Worker (Licence: OH 002403) | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |