| NPI | 1861176117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 23-CRM-2173) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR pending) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-07-13 |