| NPI | 1407736069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CT 20222) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC 2025-13996-01) |
| 175T00000X Peer Specialist (Licence: OH APS.006413) | |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist (Licence: NCPS.200068) | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-10 |