| NPI | 1881285997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH 001420) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-03-28 |