| NPI | 1871187740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH 0002240) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-08-13 |