| NPI | 1730898172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-ASXYRM) |
| Additional Taxonomies | 374700000X Technician |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-02-28 |