| NPI | 1942017512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH FPS.000224) |
| Additional Taxonomies | 172A00000X Driver |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-05-12 |