| NPI | 1891253373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 1376696096) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA 1891253373) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-06-23 |