| NPI | 1194241331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW1110) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR THW1110) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2020-12-02 |