| NPI | 1982405320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 175T00000X Peer Specialist (Licence: NY 5558) | |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |