NPI | 1780343657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
175T00000X Peer Specialist (Licence: OH 1780343657) | |
Enumeration Date | 2021-12-08 |
Last Update Date | 2024-10-16 |