| NPI | 1255966123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.002558) |
| Additional Taxonomies | 251S00000X (Licence: OH APS.002558) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2024-12-30 |