| NPI | 1205409877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000105872) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-R-1461) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR pending) | |
| 175T00000X Peer Specialist (Licence: OR pending) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-11-18 |