| NPI | 1700544780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172A00000X Driver |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-04-25 |