NPI | 1922642438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: MO 001674177) |
175T00000X Peer Specialist (Licence: MO LC001674177) | |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-29 |