| NPI | 1598383473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH CHW-000214) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-08-19 |