| NPI | 1912028606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-097067) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-05-07 |