| NPI | 1508642034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MT BBH-BHPS-CRT-80421) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2026-02-02 |