| NPI | 1831764109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.182347) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002452) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-05-10 |