| NPI | 1174307722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: RI CDP00905) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: RI 200867) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |