NPI | 1962264549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA187805) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-07-22 |