| NPI | 1275371866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005075) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS005075) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |