| NPI | 1699355966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0002339) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-28 |