| NPI | 1134847213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APP-000583793) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |