| NPI | 1821973702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 950-060-0160) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 950-060-0000) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |