| NPI | 1457211500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: ID BA) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ID BA) |
| 251S00000X Community/Behavioral Health (Licence: ID BA) | |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |