| NPI | 1114883626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.006989) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH CHW.001517) |
| 175T00000X Peer Specialist (Licence: KY 1223981) | |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |