| NPI | 1740011014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.192222) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.005282) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-11-04 |