| NPI | 1962280412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-02-12 |