| NPI | 1710494398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NY NYCPS-P-3626) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CRPA-5728) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2023-05-11 |