| NPI | 1104534015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F25-119264) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: UT F23-102910) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2026-08-18 |