| NPI | 1811602766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH CDCA.180648) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003365) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |