| NPI | 1114630647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH FPS.000216) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.002771) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-01-07 |