| NPI | 1487333639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000105404) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 23-CRM-1907) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |