| NPI | 1114385523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPPS-KHMLXD) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2024-04-12 |