| NPI | 1295552180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.004936) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 175T00000X Peer Specialist (Licence: OH APS004939) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |