| NPI | 1174279061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OK 132840) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 319929) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2026-06-16 |