| NPI | 1851996433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH 004365) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 170818) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-08-14 |