| NPI | 1770335499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 192331) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2026-02-19 |