| NPI | 1942069190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 50423-0322) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 50272-0122) |
| 174400000X Specialist | |
| 175T00000X Peer Specialist (Licence: TX 50272-0122) | |
| 174400000X Specialist (Licence: TX 50423-0322) | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-04-04 |