| NPI | 1215743984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH APS.005616) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |