| NPI | 1053136176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 00000) |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-01-28 |