| NPI | 1780463984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA TPHNYCZUSEAWQIK) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA TPHNYCVZUSEAWQIK) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-07-03 |