| NPI | 1124725700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.003887) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.188660) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-11-04 |