NPI | 1316517956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: MN 8227) |
Additional Taxonomies | 405300000X Prevention Professional (Licence: MN 8138) |
Enumeration Date | 2021-06-27 |
Last Update Date | 2021-06-27 |