| NPI | 1073251500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA GZOFUBQHCVSXLRIP) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-09-12 |