| NPI | 1730994690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005218) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH APS.005218) |
| 101YM0800X Counselor, Mental Health (Licence: OH APS.005218) | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-13 |