| NPI | 1336013465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F24-115067) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: UT 2746) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |