| NPI | 1245765965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1049) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-03-29 |