| NPI | 1316484371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: PA CSP092614-13) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: PA 9897) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |