| NPI | 1043705155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH 1369) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCARJ811021) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2019-08-29 |