| NPI | 1790441350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185438) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0002450) |
| 101YM0800X Counselor, Mental Health (Licence: OH 1790441350) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2023-08-22 |