| NPI | 1861089013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 175316) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.19355) |
| 175T00000X Peer Specialist (Licence: OH APS.004826) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-02-14 |