| NPI | 1962919183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW-2085) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 17-CRM-127) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |