| NPI | 1851017180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182179) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003533) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-05-05 |