| NPI | 1275290181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.002266) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH FPS.000092) |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2026-01-05 |