| NPI | 1467248385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NY CRPA-2643) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CRPA-2643) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |