| NPI | 1720862386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: MD PR0293) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MD RPS0755) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-12-15 |