| NPI | 1871254979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH PRS.007802) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care (Licence: OH 0907006) | |
| Enumeration Date | 2022-01-01 |
| Last Update Date | 2026-05-10 |