| NPI | 1871192039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2513008) |
| Additional Taxonomies | 251B00000X Case Management |
| 175T00000X Peer Specialist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2025-10-06 |