| NPI | 1699439778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 180248) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0001984) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2023-08-10 |