| NPI | 1144930314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: VA 2528) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WV 22-9199) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-12-13 |