| NPI | 1447731716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: PA 11689) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA 11689) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2019-07-25 |