| NPI | 1245197383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH PRS.008093) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-07-17 |