| NPI | 1679454284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.197277) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH PRS.005719) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2026-09-23 |