| NPI | 1225572647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: LA 11535) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2020-03-20 |