| NPI | 1750984795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: THW000003408) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: 175T00000X) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |