| NPI | 1821732074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187079) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003156) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-02-06 |