| NPI | 1316659584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.03743) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003743) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |