| NPI | 1295401669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OH 161734) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-09-06 |