| NPI | 1104565712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005752) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-12-12 |