| NPI | 1811560451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182074) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2025-06-23 |