| NPI | 1801517628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NJ 50201) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NJ 50039) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |