| NPI | 1114765807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VT S26CASEMANAGEMENT) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-11-01 |