| NPI | 1164077293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OR 161376) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 004170) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-06-02 |