| NPI | 1225851363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 1364-1021) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: TX 50009-1120) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |