| NPI | 1154890077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 374700000X Technician | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2021-05-13 |