| NPI | 1346757911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 1346757911) | 
| Additional Taxonomies | 175T00000X Peer Specialist | 
| Enumeration Date | 2018-01-04 | 
| Last Update Date | 2022-02-03 |