| NPI | 1558102475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH CDCA.192105) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR APS005086) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-07-29 |