| NPI | 1851948434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175065) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.001115) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-07-11 |