| NPI | 1770241309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309975) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184959) |
| 175T00000X Peer Specialist (Licence: OH 0002478) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-02-23 |