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 |