| NPI | 1407481062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NY CRPA-4298) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 599-008067) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |