| NPI | 1679326532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.188179) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-24 |