| NPI | 1457009417 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH APS.003977)  | 
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.003977)  | 
| Enumeration Date | 2022-03-17 | 
| Last Update Date | 2023-04-26 |