| NPI | 1013709948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: KY PRS.008155) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 2025) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2026-07-30 |