| NPI | 1285503904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 51444-0325) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: TX 51399-0325) |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |