| NPI | 1427831965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: MA 175T00000X) |
| Additional Taxonomies | 372600000X Adult Companion |
| 372600000X Adult Companion | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-21 |