| NPI | 1891820072 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002560-SUPV)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965798)  | 
| 101YP2500X Counselor, Professional (Licence: OH E.0002560)  | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2007-02-21 | 
| Last Update Date | 2024-08-08 |