| NPI | 1477024206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NE CPSS-305) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NE 52521) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-03-11 |