| NPI | 1730530866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.004432) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401313351011) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-09-10 |