| NPI | 1942926456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2406187-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186081) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-10-21 |