| NPI | 1700480811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH 0001759) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 181061) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2025-08-22 |