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 |