| NPI | 1265906242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OK 131080) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 320211) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2025-12-03 |