| NPI | 1689491144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190201) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2026-09-14 |