| NPI | 1710540448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 405300000X Prevention Professional (Licence: OH OCPS161333) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-10-19 |