| NPI | 1205399110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60946583) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60946583) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-11 |