NPI | 1295146017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 24-CRMII-0250) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2024-10-31 |