| NPI | 1801307186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166216) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162430) |
| 175T00000X Peer Specialist (Licence: OH APS.002840) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-07-05 |