| NPI | 1043758907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH S.1700304) |
| Additional Taxonomies | 251S00000X (Licence: OH 161339) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-10-08 |