| NPI | 1104535889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 114470) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-07-29 |