| NPI | 1205468089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist (Licence: CA MPSS-ALDZXS) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2025-01-22 |