NPI | 1043876220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: NC 2019606601) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC 2019-6066-01) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |