| NPI | 1821945510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 192447) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 005825) |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |