| NPI | 1780241224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 164250) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-06-11 |