| NPI | 1992596761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.006167) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801415) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182348) | |
| 101YP2500X Counselor, Professional (Licence: OH APS.006167) | |
| 104100000X Social Worker (Licence: OH S.0027920) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-09-02 |