| NPI | 1396362349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TN 1234) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 1234) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |