| NPI | 1467978130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14292903-3502) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2026-07-28 |