| NPI | 1528567146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-04-05 |