| NPI | 1831707397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 247200000X Technician, Other | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-10-21 |