| NPI | 1780165027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.164906) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.005716) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2024-11-20 |