| NPI | 1134814585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-R-3641) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 4D7E1C67-F2E8-4471-8) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-11-12 |