| NPI | 1821835265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.005827) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-08-07 |