| NPI | 1952013682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH 4672943) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-04-10 |