| NPI | 1063014538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 6501740) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 6501740) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2025-12-10 |