| NPI | 1194614792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 26-QMHA-R-8144) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2026-03-30 |