| NPI | 1114477023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-HADTIZ) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 258534) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2023-06-30 |