| NPI | 1255071064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist (Licence: CA MPSS-GZXTOW) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-07-19 |