| NPI | 1659264620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 190056) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-06-20 |