| NPI | 1295509461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: LA 720109) |
| 175T00000X Peer Specialist (Licence: LA OBH1037) | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |