| NPI | 1366194516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000003849) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 22-QMHA-I-003475) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2025-01-28 |