| NPI | 1679229314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 185442) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 181676) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2023-08-15 |