| NPI | 1346709847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 251S00000X | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2020-07-28 |