| NPI | 1891820072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002560) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965798) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-12-09 |