| NPI | 1184462202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005242) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 118442202) |
| 175T00000X Peer Specialist (Licence: OH aps00522) | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-16 |