| NPI | 1881366342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.191281) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.162230) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2026-06-03 |