| NPI | 1558140475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NV PRSS-5195) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: IN CAPRC2-5172) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2025-04-14 |