| NPI | 1770341141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA189406) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS004919) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-07-30 |