| NPI | 1942061908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005607) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.191703) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-10-28 |