| NPI | 1720717861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172A00000X Driver (Licence: CA Y6797108) |
| 175T00000X Peer Specialist (Licence: CA MPSS-IFXPOE) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-07-19 |