| NPI | 1265275994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 171400000X | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |