| NPI | 1396614368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: FL CRPS.0102116.F) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-11-07 |