| NPI | 1114768314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: ND 316) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |