| NPI | 1063918647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NM 1616) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10429) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-10-05 |